An exploration of the correlates of nurse practitioners’ clinical decision‐making abilities

Chen, Shiah Lian; Hsu, Hsiu Ying; Chang, Chin‐Feng; Lin, Esther Ching Lan

doi:10.1111/jocn.13136

Cited by 35 publications

(20 citation statements)

References 26 publications

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“…Clinical decision making, which is a part of the nursing process and adopted as a problem-solving approach by nurses [12], is a complex cognitive process involving the synthesis of information obtained through analysis, interpretation, explanation, inquiry, evaluation, communication, experience and observation. Clinical decision-making in nursing is very important in providing quality and safe care during nursing practices and improving the care outcomes of the patient/healthy individual [13,14]. Nurses' knowledge, clinical experience, individual characteristics (intuition, selfconfidence, healthy skepticism, etc.…”

Section: Introductionmentioning

confidence: 99%

Anxiety Levels and Clinical Decision-Making Skills of Nurses Providing Care for Patients Diagnosed with COVID-19

2021

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Introduction:Although there are studies evaluating the anxiety levels of nurses during COVID-19 pandemic, no study was found evaluating the clinical decision-making skills of nurses and the correlation between anxiety and clinical decision-making.Objectives: In this study, the anxiety level experienced by nurses providing care for COVID-19 diagnosed patients during the pandemic, their clinical decision-making skills and the correlation between them were evaluated. Methods:A descriptive and correlational study was completed with 150 nurses who were working in two pandemic hospitals in Istanbul between July and October 2020. The data were collected using Structured Questions Form, State-Trait Anxiety Inventory (STAI) and Clinical Decision Making in Nursing Scale (CDMNS). Data were analyzed using descriptive statistics and Pearson correlation analysis. Significance level was accepted as p<0.05.Results: STAI and CDMNS mean scores of the nurses were 50.59±10.20 and 142.22±14.57, respectively. There was no statistically significant correlation between the state anxiety level and clinical decision-making skills of the nurses participating in the study (p>0.05). Nurses' age, educational level and professional experience duration had a positive and statistically significant correlation with CDMNS total scores (p<0.05). Conclusions:State anxiety levels and clinical decision-making skills of the nurses were high during COVID-19 pandemic and there was no correlation between anxiety level and clinical decision-making skills.

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Section: Introductionmentioning

confidence: 99%

Anxiety Levels and Clinical Decision-Making Skills of Nurses Providing Care for Patients Diagnosed with COVID-19

2021

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“…The broad construct of EI is concerned with the effective interaction of accessing and utilising both emotion and cognition to inform behavioural choices [ 80 ]. However, motivation is integral to whether an individual chooses to use their EI within CDM to inform their clinical actions or not [ 23 ]. This review suggests fertile ground in which to build the need and hence motivation to do so and reflects other authors [ 81 , 82 ] reporting the relevance of EI to CDM.…”

Section: Discussionmentioning

confidence: 99%

“…In this model, emotion is excluded from clinical reasoning and decision making, and the process of deriving hypotheses and estimating the probabilities of diagnostic “fit” follow a Bayesian or probability theory of judgement and decision making [ 22 ]. In the nursing literature three main models of CDM are recognised [ 23 ]; these are: “the information-processing model, the intuitive-humanist model and the cognitive continuum model” [ 23 ]. Banning [ 24 ] described the information-processing model of decision making—with its decision trees—as assuming a logical, rational processing of facts to reach a decision, and the intuitive-humanist model as evolving pattern recognition from novice to expert.…”

Section: Introductionmentioning

confidence: 99%

The role of emotion in clinical decision making: an integrative literature review

et al. 2017

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BackgroundTraditionally, clinical decision making has been perceived as a purely rational and cognitive process. Recently, a number of authors have linked emotional intelligence (EI) to clinical decision making (CDM) and calls have been made for an increased focus on EI skills for clinicians. The objective of this integrative literature review was to identify and synthesise the empirical evidence for a role of emotion in CDM.MethodsA systematic search of the bibliographic databases PubMed, PsychINFO, and CINAHL (EBSCO) was conducted to identify empirical studies of clinician populations. Search terms were focused to identify studies reporting clinician emotion OR clinician emotional intelligence OR emotional competence AND clinical decision making OR clinical reasoning.ResultsTwenty three papers were retained for synthesis. These represented empirical work from qualitative, quantitative, and mixed-methods approaches and comprised work with a focus on experienced emotion and on skills associated with emotional intelligence. The studies examined nurses (10), physicians (7), occupational therapists (1), physiotherapists (1), mixed clinician samples (3), and unspecified infectious disease experts (1). We identified two main themes in the context of clinical decision making: the subjective experience of emotion; and, the application of emotion and cognition in CDM. Sub-themes under the subjective experience of emotion were: emotional response to contextual pressures; emotional responses to others; and, intentional exclusion of emotion from CDM. Under the application of emotion and cognition in CDM, sub-themes were: compassionate emotional labour – responsiveness to patient emotion within CDM; interdisciplinary tension regarding the significance and meaning of emotion in CDM; and, emotion and moral judgement.ConclusionsClinicians’ experienced emotions can and do affect clinical decision making, although acknowledgement of that is far from universal. Importantly, this occurs in the in the absence of a clear theoretical framework and educational preparation may not reflect the importance of emotional competence to effective CDM.Electronic supplementary materialThe online version of this article (10.1186/s12909-017-1089-7) contains supplementary material, which is available to authorized users.

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“…Hemşireler kliniklerde rutinde çok önemli ve kritik kararlar vermekte ve bu kararlar hasta güvenliğini ve hasta bakım sonuçlarını doğrudan etkilemektedir. Klinik karar verme; yorumlama, analiz, sorgulama, iletişim, gözlem, değerlendirme, açıklama ve deneyim yolu ile elde edilmiş bilgilerin sentezlendiği karmaşık ve bilişsel bir süreçtir (2). Klinik karar verme; hemşirelik bilgisinin kullanılmasını ve uygulamaya konulmasını ifade etmektedir (3).…”

Section: Introductionunclassified

Hemşi̇reli̇k Öğrenci̇leri̇ni̇n Kli̇ni̇k Karar Verme Süreci̇nde Özgüven Ve Anksi̇yete Düzeyleri̇ni̇n Beli̇rlenmesi̇: İki̇ Farkli Program Örneği̇

Günerigök¹,

Kurt²,

Küçükoğlu³

2020

Journal of Anatolia Nursing and Health Sciences

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Determination of Nursing Student's Self-Confidence and Anxiety Levels in The Process of Clinical Decision Making: Example of Two Different Programs Aim:This study was done to determine the self-confidence and anxiety levels of the students who have taken or not taken internship program in clinical applications between the two-nursing training programs. Method: The universe of this descriptive and comparative study was formed by the nursing students from two different universities with (A school) and without (B school) internship program, who are taught within the classical curriculum in 3 rd and 4 th grades of the spring semester of 2017-2018. This study was completed with the students who accepted the research before the selection of the sample and completed the first and last day questionnaires of the clinical practice. Results: As a result of the study, the total scores of self-confidence total and subscale average scores of the students that took education of the internship program were found statistically to be higher than the total scores of the students who did not took education of the internship program (p<0.05). It was determined that anxiety total and subscale total scores of the students who received the internship program were lower than the total scores of the students who did not, but the difference was not statistically significant (p>0.05). Conclusions: In the study, the conclusion was that the internship program was effective in raising the level of self-confidence in clinical decision-making and lowering the anxiety levels of nursing students. The study is the first study on the subject in our country and new studies are needed.

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An exploration of the correlates of nurse practitioners’ clinical decision‐making abilities

Abstract: The study results showed that nurse practitioners demonstrated various clinical decision-making types across different work units. Consideration of nurse practitioners' knowledge readiness and their specific needs while planning on-duty education programmes is necessary.

Cited by 35 publications

References 26 publications

Anxiety Levels and Clinical Decision-Making Skills of Nurses Providing Care for Patients Diagnosed with COVID-19

Anxiety Levels and Clinical Decision-Making Skills of Nurses Providing Care for Patients Diagnosed with COVID-19

The role of emotion in clinical decision making: an integrative literature review

Hemşi̇reli̇k Öğrenci̇leri̇ni̇n Kli̇ni̇k Karar Verme Süreci̇nde Özgüven Ve Anksi̇yete Düzeyleri̇ni̇n Beli̇rlenmesi̇: İki̇ Farkli Program Örneği̇

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